33929

Rmvl rplcmt hrt sys f/trnspl

Code typeAdd-on
Paid with — select a primary to see the real payable total

33945

Transplantation of heart

Add to my model
Code typePrimary
Payment statusRestricted coverage (R)
Global period90-day
Restricted coverage: Covered only in unusual circumstances; special instructions apply.

Pricing with Related Codes

Line
Qty
Global fee
Pro fee
Primary33945Transplantation of heart
1
$4,516.80
$4,516.80
Add-on33924Remove pulmonary shunt
0
$258.52/ unit
$258.52/ unit
Add-on33929Rmvl rplcmt hrt sys f/trnspl
0
$0.00/ unit
$0.00/ unit
Add-on34714Opn fem art expos cndt crtj
0
$245.16/ unit
$245.16/ unit
Add-on34716Opn ax/subcla art expos cndt
0
$338.35/ unit
$338.35/ unit
Add-on34833Opn ilac art expos cndt crtj
0
$355.05/ unit
$355.05/ unit
Whole procedure · 87.26 wRVU credited
$4,516.80
$4,516.80
How these numbers were computed
  • status=CThis code is not separately payable under the Physician Fee Schedule (status C) — amounts shown are $0.

RVU Breakdown

Component
Office
Facility
Work
87.26
87.26
Practice expense
26.39
26.39
Malpractice
21.58
21.58
Total RVU
135.23
135.23

Payment Policy & Modifiers

Allowed adjustments
Multiple procedure MPPRApplies
When billed with other procedures the same day: highest-valued paid 100%, the rest 50%. Add-on codes are exempt.
Assistant surgeon -80/81/8216%
Assistant at surgery (mod 80/81/82) is paid at 16% of the fee schedule amount.
Co-surgeons -6262.5% each
Co-surgeons paid (62.5% each) if medical necessity is documented.
Team surgery -66By report
Team surgery is priced 'by report' — the contractor sets the amount; no standard percentage.
Not applicable to this code
Bilateral -50Prof / tech split

Global surgery package

Major surgery: payment covers the day before, the day of, and 90 days after. Of the total payment, 9% is attributed to pre-operative care, 84% to the procedure itself, and 7% to post-operative visits.